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DR. SUNDERAM KODMAN SHETTY M.D., F.A.C.R.O.
NPI 1720061674
Specialist in West Palm Beach, FL

Active since November 23, 2005
901 45TH ST, KAPLAN CANCER CENTER, ST MARYS HOSPITAL, WEST PALM BEACH, FL 33407(561) 881-2815(561) 881-0951 Get Directions Write a Review

NPPES record last updated: June 28, 2010. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Dr. Sunderam Kodman Shetty M.d., F.a.c.r.o. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. SUNDERAM KODMAN SHETTY M.D., F.A.C.R.O. (NPI 1720061674) is an individual specialist in West Palm Beach, Florida, licensed in Florida (ME37893) and active in the NPI registry since November 2005.

NPPES Registry Identity

NPI1720061674
Entity TypeIndividualMale
Primary Taxonomy174400000X
Provider Legal NameDR. SUNDERAM KODMAN SHETTYCredential: M.D., F.A.C.R.O.
Location Address901 45TH ST, KAPLAN CANCER CENTER, ST MARYS HOSPITALWest Palm Beach, FL 33407-2413
Mailing Address901 45th St, Kaplan Cancer Center, St Marys HospitalWest Palm Beach, FL 33407-2413 · (561) 881-2815 · Fax (561) 881-0951
Phone(561) 881-2815
Fax(561) 881-0951
Sole ProprietorYes
Enumeration DateNovember 23, 2005
Last NPPES UpdateJune 28, 2010
✔ NPI 1720061674 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in FL · ME37893
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
901 45TH ST, West Palm Beach, FL 33407
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Other Identifiers 3

Medicaid061721100FL
Medicare PIN61186YFL
Medicare UPIND65250FL

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JUAN C RAMOS-CANSECO M.D.
Psychiatry & Neurology (Neurocritical Care)
901 45TH ST
WEST PALM BEACH, FL 33407
Palm Beach County (561) 882-6214
MS. KATHLEEN ANNE THIBEAULT CRNA
Nurse Anesthetist, Certified Registered
901 45TH ST
WEST PALM BEACH, FL 33407
Palm Beach County (561) 840-3444
DR. TONYA GRAHAM PHARM D, CPH, RPH
Pharmacist
901 45TH ST
WEST PALM BEACH, FL 33407
Palm Beach County (561) 351-7524
TYLER DOUGLAS BRODEUR
Physician Assistant
901 45TH ST
MANGONIA PARK, FL 33407
Palm Beach County (561) 844-5255
JESSICA SHUTES
Physical Therapist
901 45TH ST
WEST PALM BEACH, FL 33407
Palm Beach County (561) 844-7878
KYLE GERAKOPOULOS M.D.
Emergency Medicine
901 45TH ST
MANGONIA PARK, FL 33407
Palm Beach County (561) 882-9944
ALYSSA LANDAU
Physician Assistant
901 45TH ST, KIMMEL BLDG
WEST PALM BEACH, FL 33407
Palm Beach County (561) 844-5255
JESSIKA ZABALA ANNUNZIATA
Nurse Anesthetist, Certified Registered
901 45TH ST
WEST PALM BEACH, FL 33407
Palm Beach County (561) 844-6300

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Sunderam Shetty's NPI number?

The NPI number for Sunderam Shetty is 1720061674. It was assigned to this individual provider in the NPPES registry on November 23, 2005.

Where is Sunderam Shetty located?

Sunderam Shetty practices at 901 45th St Kaplan Cancer Center, St Marys Hospital, West Palm Beach, FL 33407. The listed phone number is (561) 881-2815.

What is Sunderam Shetty's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Sunderam Shetty was last updated on June 28, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.